Laura Ann Abeyta, PA
Individual provider Active NPI Physician Assistant · Albuquerque, NM
NPI 1982129672 · NPPES record last updated Jan 8, 2021
Key facts
- NPI
- 1982129672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA2019-0004 (NM)
- Practice address
- 601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619 - Phone
- (505) 727-3170
- Fax
- (505) 727-9590
- NPI assigned
- Aug 3, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southwest Medical Associates, LLC
Practice addresses (Care Compare)
601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone (505) 727-8000
715 Dr Martin Luther King Jr Ave NE
Suite 301
Albuquerque, NM 87102-3668
Phone (505) 727-7090
Hospital & facility affiliations
- Lovelace Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190226003163 | NM | Practitioner - Physician Assistant | 9335406230 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C06537 | MD | MD | Physician Assistant |
| PA2019-0004 | NM | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Associates, LLC | Current |
Accepting new patients |
Locations
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360
500 Walter St NE
Ste 501
Albuquerque, NM 87102
Phone (505) 244-0080
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
Interoperability endpoints
- labeyta210483@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C06537 | MD | |
| Physician Assistant | 363A00000X | PA2019-0004 | NM | Yes |
Addresses
Primary practice location
601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Mailing address
500 Walter St NE Ste 501
Albuquerque, NM 87102-2521
Phone (505) 727-3170
Other practice location 1
600 North Wolfe Street
Halsted 600
Baltimore, MD 21287
Phone (410) 502-2651
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28806077 | Medicaid | NM |
Other names
- Ms. Laura Ann Torres
Other providers in Albuquerque, NM
- Gloria Abeyta
- James Abeyta
- Janis R Abeyta
- Jolene Kathy Abeyta
- Kimberly Bernadette Abeyta
- Laura L Abeyta
- Lillian Abeyta
- Madeline Abeyta
- Malia Consuelo Abeyta
- Margaret Abeyta
All providers in Albuquerque, NM · Physician Assistant in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.